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General NPI Number Information
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NPI Number | 1306915095
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Entity Type | Organization
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Legal Business Name | THE REHABILITATION INSTITUTE OF CHICAO
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1030 N CLARK ST SUITE 647
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City | CHICAGO
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State | IL
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Zip | 60610-5467
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Country | US
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Telephone | 312-238-7891
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Fax | 312-238-7881
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Provider Business Mailing Address
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Address Line | 1030 N CLARK ST SUITE 647
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City | CHICAGO
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State | IL
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Zip | 60610-5467
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MRS. AMIE L. KING
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Credential | PT
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Telephone | 312-238-7891
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number |
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License Number State | IL
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